Putting the 'heal' in heel: physiotherapy for plantar fasciitis

Understanding and treating plantar fasciitis

Plantar fasciitis, also known as heel spur syndrome or plantar fasciopathy, is a common condition that affects many individuals, especially those who are active or on their feet for long periods.

At our physiotherapy, podiatry, and sports medicine clinic in Melbourne, we see numerous cases of plantar fasciitis and offer effective treatments to alleviate pain and restore function.

What is plantar fasciitis?

Plantar fasciitis is an reversible, structural change of the plantar fascia, a thick band of tissue that runs across the bottom of your foot, connecting your heel bone to your toes.

This tissue supports the arch of your foot and absorbs shock when you walk.

When the plantar fascia becomes inflamed or irritated, it can cause significant heel pain.

Pain is often worst for the first few steps after sitting or laying down.

Who is commonly affected?

Plantar fasciitis can affect anyone, but it is most common in:

• Athletes: Runners and those involved in sports that involve a lot of jumping and landing, such as basketball or tennis.
• Middle-aged adults: Individuals aged 40-60 are at higher risk, especially with a sedentary lifestyle or have jobs that require long periods of standing or walking.
• People with altered foot mechanics: Flat feet, high arches, or an abnormal walking pattern can increase the risk.
• Those who wear unsupportive footwear: Shoes without proper arch support or cushioning can contribute to plantar fascia strain.

How is plantar fasciitis diagnosed?

Diagnosis of plantar fasciitis typically involves:

• Medical history: Understanding the patient’s symptoms, activity levels, and any previous injuries. The pain is often most severe with the first steps in the morning or after long periods of sitting.
• Physical examination: Checking for tenderness in the foot, particularly near the heel.
• Imaging tests: While not always necessary, x-rays or MRIs can rule out other causes of heel pain, such as fractures or arthritis.

Physiotherapy treatment options

Our physiotherapy clinic in Melbourne offers a range of treatments to help manage and relieve the symptoms of plantar fasciitis.

Here are some effective physiotherapy treatment options:

1. Stretching and strengthening exercises:

• Calf stretch: Lean against a wall with one foot forward and one foot back. Keep the back leg straight and heel on the ground while bending the front knee. Hold for 30 seconds and repeat.
• Strengthen your feet: Exercises that strengthen the flexor muscles in your feet help stabilise the arch of your foot, keeping it from flattening. This helps decrease the tensile load on your plantar fascia.

2. Shockwave therapy

Shockwave therapy is a non-invasive treatment that uses high-energy sound waves to stimulate healing in the affected area.

This treatment has been shown to be effective in reducing pain and promoting tissue repair in chronic cases of plantar fasciitis.

3. Manual therapy

Hands-on techniques such as massage and mobilisation can help reduce pain and improve foot mobility.

Our skilled physiotherapists use these methods to target specific areas of tightness and inflammation.

4. Footwear advice

Wearing supportive shoes with proper arch support and cushioning is crucial.

Our physiotherapists can recommend appropriate footwear or orthotics to help alleviate strain on the plantar fascia.

5. Taping

Taping the foot can provide additional support and reduce strain on the plantar fascia.

This technique can be particularly useful during activities that put stress on the foot.

Shockwave therapy: an effective treatment option

• Procedure: A device is used to deliver sound waves to the affected area. These waves help increase blood flow, reduce inflammation, and stimulate the body’s natural healing process.
• Benefits: Shockwave therapy can reduce pain, improve mobility, and accelerate recovery. It is particularly beneficial for patients who have not responded well to other treatments.
• Sessions: Treatment typically involves 4 sessions, spaced a week apart. Each session lasts about 10 minutes.

Conclusion

Plantar fasciitis is a common and painful condition, but with the right treatment, you can find relief and return to your normal activities.

Our clinic in Melbourne, serving areas such as Malvern, Armadale, and South Yarra, offers comprehensive physiotherapy and sports medicine services to help you manage plantar fasciitis effectively.

From personalised exercise programs to advanced treatments like shockwave therapy, we are here to support your journey to recovery.

If you are experiencing heel pain or suspect you have plantar fasciitis, don’t hesitate to contact us.

Our team of experienced physiotherapists is ready to help you get back on your feet.

Linh Bui
Physiotherapist and Pilates instructor at Lifecare Malvern

Linh graduated with her Bachelor of Physiotherapy (Honours) at Monash University. She has completed postgraduate courses in Sports and Exercise Physiotherapy and has experience in Clinical Pilates and is a keen participant in Pilates herself. Her clinical interests lie in diagnosis and management of both acute and longstanding musculoskeletal conditions.